Individual provider Active NPI

Alexandra Pazaran, LPC

  • Counselor
  • Park Ridge, IL
National Provider Identifier
1972239390
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178018207 Issued in IL
Practice address
1400 Renaissance Dr Ste 405
Park Ridge, IL 60068-1329
Phone
(847) 668-4295
Fax
(847) 668-4295
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178018207 IL Primary

Addresses

Primary practice location

1400 Renaissance Dr Ste 405
Park Ridge, IL 60068-1329

Mailing address

900 Skokie Blvd Ste 218
Northbrook, IL 60062-4043
Phone (847) 668-4295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178018207ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Family Services, LLC CurrentSince Jul 31, 2022 Accepting new patients
North Shore Family Services CurrentSince Dec 28, 2022 Accepting new patients

Locations

900 Skokie Blvd
Ste 218
Northbrook, IL 60062
Phone (847) 668-4295

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1972239390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 218",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624043",
            "telephone_number": "847-668-4295",
            "fax_number": "847-668-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 RENAISSANCE DR STE 405",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681329",
            "telephone_number": "847-668-4295",
            "fax_number": "847-668-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZARAN",
        "first_name": "ALEXANDRA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178018207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.